Ac SYR

ACADEMY OF SCIENTIFIC AND INNOVATIVE RESEARCH

(AcSIR)
Semester Academics Continuation Commitment (SACC) Form
*******************

1. Semester (January/August) & Year Augat 2021

2. Name of the Student Jaicleep Shamma
3. Phone & E-mail Contact 75S3 4.S3u L jeidecpahazma 029 nailcon
4. Enrolment/Registration (as applicable) No.1aRR21T25005
5. AcSIR Centre/Unit (Name of Institute)
LSIRNakimal kctaticol
Recearch TAst1tuts uckhnu
6. Name of the Supervisor Dr LS Rana
7. Details of the Semester Tuition Fee paid:

a. Date of payment 1AuaLAt, 202

b. Amount paid
C. Method of payment
Ohlihehaough Dehié_fad
DDM/Bank transfer to AcSIR Account having following details:
Account No.: 32594652804
Bank: State Bank of India
Branch name: Tidel Park
IFSC Code: SBINOO04285
d. Payment Receipt Number DUE Z41EC14
(Copy must be Attached)

Accordingly, I hereby commit to continue my AcSIR academic/research work during the

above semester as per program of enrollment and report progress of the semester to the
Supervisor
Jeicleap

Date: 22/os|2-21 (Signature of the Student)

Countersigned bythe Supervisor (with Date):,

To be submitted to AcSIR Latestby January 31st &August 31
(For AcSIR Office Use)